reconstrucción mamaria

complicaciones colgajo reconstrucción mamariaLa congestión venosa es la principal causa de complicación en la reconstrucción microquirúrgica de mama. Entre sus posibles motivos, son de especial interés las características de los vasos receptores. Las venas mamarias internas son la primera opción como venas receptoras. Ampliar…

El cáncer mamario es el más frecuente en las mujeres puesto que el riesgo de padecimiento a lo largo de la vida oscila entre un 10 % y un 12 %. La mastectomía ha sido el tratamiento estándar por más de una centuria, aunque, en las últimas décadas las técnicas reconstructivas han sido reconocidas como parte del tratamiento integral del mismo. Ampliar…

Wagner, R. D; Braun, T. L; Zhu, H; Winocour, S.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2019-07-01, Volumen 72, Número 7, Páginas 1051-1059

The use of implants for breast reconstruction began over four decades ago, with implants initially placed in the prepectoral space. Concerns arose regarding the high incidence of capsular contracture and complication rates. With the introduction of acellular dermal matrix (ADM), plastic surgeons are again considering the advantages of prepectoral implant placement. A systematic review was conducted to examine complication profiles in prepectoral breast reconstruction alone versus prepectoral with ADM or mesh.

Suárez Oyhamburú, D; Escobar Ugarte, R.
Cir. plást. iberolatinoam. vol.44, no.2. abr./jun. 2018. pp.169-176

portada - Cirugía Plástica Iberolatinoamericana_mediumDebido al alto costo y a la dificultad de adquisición de las matrices dérmicas acelulares u otros substitutos biológicos en nuestro medio para reforzar el polo inferior del músculo pectoral en reconstrucción mamaria inmediata, diferida o al sustituir el expansor por un implante definitivo, utilizamos matrices dérmicas autólogas (MDA) obtenidas de cicatrices abdominales, cesáreas previas, abdominoplastias o de la mama contralateral, a fin de evitar la extrusión protésica y preservar la marcación del surco submamario.

Siotos, Ch. et als.
Plastic & Reconstructive Surgery: January 2019 – Volume 143 – Issue 1 – p 39–48

portada - PRS - Vol. 132; No. 2 (2013)Postoperative skin necrosis in surgical patients is costly to hospitals and health care providers. Tumescent dissection technique is commonly used in mastectomy and immediate breast reconstruction, as it helps reduce blood loss; however, it may increase the risk of mastectomy skin flap necrosis. In this context, the authors have conducted a systematic review of the literature to perform a meta-analysis of the relationship between tumescent technique in mastectomy with or without breast reconstruction and complication rates.

Barnea, Y. et als.
Plastic & Reconstructive SurgeryFebruary 2017 – Volume 139 – Issue 2 – p 348e–357e

portada - PRS - Vol. 132; No. 2 (2013)Patients with a small breast volume and a relative large lumpectomy volume are at risk of developing severe breast deformity and asymmetry following breast conservation, presenting a unique surgical challenge.
A series of patients undergoing immediate reconstruction by means of an oncoplastic breast augmentation technique following breast conservation are described. The technique includes local tissue rearrangement and bilateral subpectoral breast augmentation with implants of different sizes and shapes, immediately after lumpectomy for a malignant tumor.

Teotia, S. S; Cho, M. J; Haddock, N.
Plastic and Reconstructive Surgery – Global Open: September 2018 – Volume 6 – Issue 9 – p e1837

portada - PRS Global Open - Vol. 6; No. 3 (2018)Over the years, the choice of recipient vessels for free flap autologous breast reconstruction has shifted from the thoracodorsal to the internal mammary vessels due to ease of flap inset and predictability of anatomy. However, thoracodorsal vessels are still great recipient vessels, and can be useful, especially in the previously failed or staged autologous breast reconstruction. In this study, we present our experience using thoracodorsal or serratus vessels for profunda artery perforator flaps.

Fuertes Bielsa, V; Francés Monasterio, M; Fernández Palacios, J.
Cir. plást. iberolatinoam. vol.43, no.4. oct./dic. 2017. pp.341-349

portada - Cirugía Plástica Ibero - Latinoamericana_hugeLa reconstrucción mamaria inmediata con expansión y recambio por prótesis definitiva es una opción reconstructiva frecuente. En el presente estudio se planteó la siguiente pregunta ¿cuál es la secuencia temporal más adecuada cuando se usa en combinación con radioterapia?
Se realizó una búsqueda bibliográfica en PUBMED con las palabras clave breast reconstruction, implant-based y radiotherapy desde enero de 2010 a enero de
2016.

Riggio, E; Ardoino, I; Richardson, C; Biganzoli, E.
European Journal of Plastic Surgery, June 2017, Volume 40, Issue 3, pp 203-212

portada - EJPS - Vol. 35 (2012)Preoperative implant planning for breast reconstruction is often at risk of being changed perioperatively. This study examined which factors are associated with a change of implant selection.
Women who had unilateral two-stage breast reconstruction between 2002 and 2007 were studied. Inclusion criteria were photographic evidence of preoperative skin markings indicating breast dimensions and a selected implant model. Multivariable logistic regression was used to identify variables associated with a changed selection.